OrganizationActive
Vintage Compounding Pharmacy LLC
NPI 1457030900 · Compounding Pharmacy · Albuquerque, NM
Provider details
- NPI number
- 1457030900
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mohammad Zamanian, Pharm.d, Rph(505) 620-4352
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9821 Montgomery Blvd Ne Ste a
Albuquerque, NM 87111-3571
Phone: (505) 620-4352
Street-level locationGet directions
Mailing address
9821 Montgomery Blvd Ne Ste a
Albuquerque, NM 87111-3571
Other names (DBA / former)
- Doing business as
- Vintage Compounding Pharmacy
Registry dates
- Enumerated
- 2023-07-12
- Last updated
- 2023-07-20
- Certified
- 2023-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.